دورية أكاديمية
أعرض في EDS

Short follow-up evaluation of proximal femoral varus osteotomy for treatment of Legg-Calvé-Perthes disease.

التفاصيل البيبلوغرافية
العنوان: Short follow-up evaluation of proximal femoral varus osteotomy for treatment of Legg-Calvé-Perthes disease.
المؤلفون: Elzohairy MM; Faculty of Medicine, Zagazig University Hospitals, Zagazig, Egypt. elzohairy.me@gmail.com.
المصدر: Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology [J Orthop Traumatol] 2016 Dec; Vol. 17 (4), pp. 345-351. Date of Electronic Publication: 2016 May 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 101090931 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1590-9999 (Electronic) Linking ISSN: 15909921 NLM ISO Abbreviation: J Orthop Traumatol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Milano, Italy : Springer-Verlag Italia,
مواضيع طبية MeSH: Femur/*surgery , Legg-Calve-Perthes Disease/*surgery , Osteotomy/*methods, Child ; Female ; Follow-Up Studies ; Humans ; Legg-Calve-Perthes Disease/classification ; Male ; Treatment Outcome
مستخلص: Background: There are many methods of treating Legg-Calvé-Perthes disease, including operative and nonoperative methods. Femoral varus osteotomy is one of the surgical methods used to treat this disease, and it involves changing the alignment of the proximal femur to improve containment of the femoral epiphysis in the acetabulum. The aims of this study were to evaluate the results of femoral varus osteotomy for the treatment of Perthes disease according to various classification and grading schemes, as well as to compare the results to those obtained using other methods of treatment reported in the literature.
Materials and Methods: Twenty-three patients with Legg-Calvé-Perthes disease were treated using a proximal femoral varus osteotomy procedure. The mean age of the patients was 7.8 years (range: 6-11.5 years). The average follow-up was 36.2 months (range: 29-48 months).
Results: The patients were classified and graded according to the Catterall and Herring classifications. The preoperative and postoperative mean epiphyseal extrusion indices were as follows: group III (B), 10.88 % and 7.22 %, P = 0.027; group III (BC), 15.81 and 8.93 %, P = 0.005; group IV (C), 72.64 and 39.44 %, P = 0.018. The preoperative and the postoperative mean Wiberg's CE angle were as follows: group III (B), 26.88° and 37.81°, P = 0.028; group III (BC), 24.4° and 32.2°, P = 0.005; group IV (C), 20.89° and 28.41°, P = 0.018. Changes in Iowa clinical hip scores were as follows: group III (B), 54.8 to 92.33, P = 0.027; group III (BC), 47.3 to 87.8, P = 0.005; group IV (C) 34.43 to 68.29, P = 0.017. In the last follow-up, the mean limb length discrepancy after plate removal was 0.9 cm (range: 0.0-2 cm) of shortening on the operated side. The author of the present study did not see any progressive change in this parameter during the follow-up period, especially after hardware removal and in the younger boys. All of the osteotomies united within 3 months without loss of fixation.
Conclusion: According to the results of the present study, proximal femoral varus osteotomy gives good results in children between the ages of 6 and 10 years without any femoral head deformity and flattening, especially with good containment in abduction.
Level of Evidence: Level IV.
Competing Interests: Compliance with ethical standards All patients gave their informed consent prior to being included in the study. All procedures involving human participants were in accordance with the 1964 Helsinki Declaration and its later amendments. The study was approved by the Research Ethics Committee. Conflict of interest The author declares that they have no conflict of interest. The author did not receive grants or payments or other benefits or a commitment or agreement to provide such benefits from commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.
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فهرسة مساهمة: Keywords: Femoral; Legg–Calvé–Perthes disease; Osteotomy; Proximal; Varus
تواريخ الأحداث: Date Created: 20160521 Date Completed: 20171120 Latest Revision: 20181113
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC5071238
DOI: 10.1007/s10195-016-0412-0
PMID: 27197968
قاعدة البيانات: MEDLINE
الوصف
تدمد:1590-9999
DOI:10.1007/s10195-016-0412-0